Tag: Safety

Categories
Chronic Disease Medical Travel

Day 1657 and The Boredom of Summer Surgery

It sounds a little ungrateful to say I’m bored, as I sit comfortably in a nice hotel bed with books, Netflix, room service, and a nice view but I am bored and a little miserable.

Antibiotics, discomfort and surrealism are a challenging combination for existential stability as it turns out.

I can’t do much beyond sitting still and getting up once an hour to walk a couple hundred steps. I have been instructed not to sweat so I can’t go outside much. Even in the evening with a breeze, it’s still hot enough to break a sweat and this is an infection risk.

Beyond sweating, you can’t disturb you wound healing in anyway so I can’t exercise. At best, I can do some light yoga and stretching. Short walks indoors are OK so I can’t walk the hallways but that makes staff nervous. I keep to myself mostly.

Most tragically for me as we don’t have a bathtub at home is that I can’t take a bath or submerge myself in water for weeks. So the gorgeous bathtub is simply taunting me. I love a good tub and this is a great tub.

No submersion in water for two weeks minimum

It’s even worse when I stare out at the beautiful pool. That is obviously an infection risk as well. No splashing around in Norma Kamali pretending at social aspirations. Oh yes Istanbul is the new Florence in July haven’t you heard?

At least the nearby Bosphorus is packed with cargo ships, I have no temptation when seeing the beach to have a dip in the water. I doubt diesel fuel is good for healing.

The highlight of my day is the hotel lounge’s breakfast where there are charming varieties of very Instagram friendly food. It is still in a hotel lounge but it’s a beautiful novelty.

Tea, pomegranate juice and rose honey yogurt

I’ve been annoyed by the variety of influencers who are also healing around me. There are any number of different plastic surgery and aesthetic patients in the guest mix.

If you think a week of blogging about an emergency sepsis slice job on some indelicate bits, imagine how weird it is to see an entire family getting plastic surgery and their daughter (I think?) is live-streaming most of it.

I’ve seen more puffy lips than I have fish on this trip and that’s my fault. I don’t have the strength dress up or walk to the Michelin starred seafood restaurant. Maybe that’s more for the elective surgery types and the emergency infection girlies have just enjoy the tiny yogurts.

That’s almost a bagel and lox set up right?
Categories
Medical Travel

Day 1653 and Slicing Then Cipro

Well it’s been exciting day for me and I may be a little bit high (alas not the fun or good kind) as I just had an abscess surgery in Istanbul.

I’m waiting on the lab work for the culture and pathology but from what I saw come out of the abscess it can’t be anything good as the doctor prescribed multiple antibiotics including Cipro while we wait for results.

Bimzelx has some gnarly side effects and I don’t know how much more slicing up infections I can manage for an immune suppressant biologic. My biometrics are better but 2 eye infections and one abscess surgery that almost went septic isn’t making me feel great about the balance of value on the drug.

I can’t say enough nice things about the Turkish medical system and their treatment of foreign “tourist” patients. It’s my second time this year having my Bimzelx side effects treated here.

A lovely interpreter and patient advocate was with me the entire time. The physician was so empathic. She was astonishingly effective in technique and her whole being moved with an efficient alacrity that was admirable given she was in a floral print silk sundress, high heels and pearls.

Imagine being so good at your job you can squeeze infected goo out of another human that you do it in white silk? I was impressed.

She on the other hand was not impressed by the care I received in America.

“They knew you were immunocompromised and did not insist on an ultrasound and immediate treatment?

What do you mean they said wait and see?”

“I don’t believe the other doctor thought it was a swollen lymph node given the clear folliculitis literature warnings for your biological drug.”

I was headed straight to sepsis and in her mind having multiple doctors leave a high risk patient to “put a compress on it and wait and see” when it was easily 3mm below the skin was malpractice to her.

Quite the big abscess eh? And look at that irritating side ways hair in there so deeply buried

And indeed I am on the kinds of antibiotics you’d expect someone close to septic shock might be on. I am amazed to be doing as well as I am. But I am frankly furious.

I tried to be responsible with preventative care and was ignored. I just kept on going until the small lump became a large lump. Then it rapidly became so swollen and infected it couldn’t be ignored. What a metaphor for the American healthcare share. You try to be responsible and are shown the door till it’s a crisis. And then they can’t even fix the crisis.

On the bright side I’m in a lovely hotel next to the hospital receiving excellent care. I could afford to fly in and get it taken care of without any worries (for the curious this was $2,000 for surgery and follow up care). I was in a very space age room after being in surgery and all my intense antibiotics were hand delivered to me. Now we wait to see what the labs say.

A private recovery suite
Categories
Biohacking Media Travel

Day 1652 and Back in Istanbul

I’m a mess and somewhat scared. This abcess saga has grown from dismissive preventative care visit (which I did did out of an abundance precaution) and ended with me meeting a general surgeon at a Turkish medical tourism hospital tomorrow to discuss labs and my ultrasound. It’s my second time this year so that’s quite an endorsement as a revealed preference.

But I am serious with this sidebar. Don’t go to SkincareMT’s dermatology practice if you have a layered case that needs more involvement. I found Dr Oetken pleasant but entirely unaccountable when a patient needed advice and weightings on a complex case. I should have known better.

I was afraid she would be a box checking paper pusher afraid to give an opinion. But maybe younger doctors are afraid to treat that way given our system. I needed to know is it worth getting a clearer diagnosis before it is a crisis? Is imaging necessary? I have a set of drugs I take with these specific side effects. Given that risk profile and nuance at hand needed the interpersonal relationship that would guide me.

I do endorse SkincareMT’s cosmetic practice, and Addison in particular is fantastic, but their healthcare wing is clearly designed to extract maximum Medicare dollars from Montana seniors. 

My failure to get an ounce of prevention means I’m flown to Istanbul to attempt to get a pound of cure. Don’t worry I was already in the Mediterranean. Not in the way way some think though.

Yesterday we found out by pulling teeth that I had a problem. It’s clear I need this excised and quickly. The ultrasound is gnarly. Drainage, removal of the foreign object, and potential curratage to make sure the walls of the cyst are removed forever are what is needed. 

The sprawling medical tourism complex in Istanbul is amazing and I trust them more than any other system or talent pool on the planet right now.  What they have built is an incredible achievement and in challenging conditions.

Doctors who listen, who educate you on your options, and most importantly are up to date on current research and global innovations so don’t give you glassy eyed stares when you mention a new medication like a next generation IL-17 inhibitor it’s exotic side effects.  American doctors like that are rare and their hands are often tied by our horrific mess of state failure and lack of market innovation. 

I’m relieved to have choices like “general surgeon or gynecological surgeon” and texting discussions with my case lead (a full time liaison for you and your family on the entire case) on how we will handle excision and culture pathology. 

It does feel like I’ll have good choices. But it also seems like I booked less time than is necessary and I don’t know how I feel about that. A week of waiting on labs in a hotel while in pain is scary. Sure I can work and be productive and maybe even do some tourism but I just want this shit sliced out, an IV of the right antibiotic that will work and some sleep. 

I’ve been doing some crazy bi-phasic sleeping as the Mediterranean is hot as hell from noon to 10pm. So I’ve been doing a bit of staying up late and sleeping in to avoid the heat. It’s not clear how much it’s messing with me yet because I’ve got all these odd infection fever doctor nonsense. A quick surgery and some answers can’t come fast. Thankfully I’m at the crossroads of empires.

Categories
Culture Politics

Day 1648 and Dystopian Doomers

I’m fairly well branded as a doomer, so I hate to break ranks with my preparedness brethren, but I’m absolutely sick of the powerful using fear as a tool to control people.

It isn’t a new problem. This is the go-to tactic our species has used insofar as we can verify with written history.

Any time we experience a change of circumstance, material reality or technology, we hear the braying of the old guard and the panic of the precarious.

People complain for two basic reasons. If you are doing well why change a system that benefits you? If you aren’t successful but equally aren’t comfortable with change, then you resent anyone who benefit from change. Fear and resentment are the shadows of the human soul. Envy is the sin of our time.

I personally feel I’ve invested a lot in doing my part to educate people on risks from climate to currency and compute.

I am politically involved in crypto policy as well as fighting fear in artificial intelligence. I helped pass the only piece of AI legislation in the world focused on liberty. I want people to have a choice for how they engage in a virtual future.

I’m not just a nerd about being prepared either. I’ve done my wilderness first responder certification. We left Colorado for Montana for a host of reasons but top of them was a better and freer climate both literally and figuratively. We live this way because it’s a great way to live and when change happens we are hoping to be resilient.

Having all that in mind I was offline for the 4th of July long weekend as it has been a busy year on all of those fronts. So I was sleeping it off. To come back and see a spate of conspiracies over cloud seeding technology was like a punch to the gut. And I’m already feeling like I’m on the outs with some community when it comes to technology and my intentions.

I’ve only met Augustus Doricko of Rainmaker a handful of times but his circle of young technical Christians dedicated to building solutions to our modern problems are why I remain optimistic in fighting for technology and the people who build it.

These kinds of communities of builders exist in an archipelago of anarchic communities across digital and physical worlds that interlay across many systemic problems. These places will succeed no matter the future we face because they understand it’s necessary to build. That is will.

I’ve been lucky to have been the first investor in Isaiah Taylor’s Valar Atomics. He is a part of this builder world and of a part of a clan of physical builders. He faces decades of fear with a cheerful heart. I believe in his vision for energy abundance.

Nuclear energy was buckled under an old environmentalisms that was a proxy for a fear of a future whose risks, however minimal, were too scary to embrace for those in charge and the public they controlled.

I believe in a vision of a better America (and a better ecosystem and a better economy) because we embrace change to build materially better conditions.

I have frankly seen too much pessimism from older generations and cynical power brokers to be silent. The complicit rancor is slowing us down and there is nothing Christian at all about standing in the way of delivering better conditions to our fellow man.

Paradise is lost. In a fallen world we work to do what we can. It isn’t the end of the world. It’s already lost. Now we work because we must. We aren’t building an eschatology to replace the Lord. We build because that is what we are called to do by him.

Categories
Community

Day 1639 and Casting Aspersions

It is a poor craftsman who blames his tools. Much as I’d enjoy going on a sidequest exploring ethnographies of man and his use of tools, I have an agenda. My honor has been impinged.

At a gathering of eccentrics in Wyoming, myself & a friend engaged in an hour long discourse with our audience on the use of artificial intelligence and how one might practically understand these tools. The talk was more linear algebra than immanentizing the eschaton.

Our explicitly stated goal was to understand the technology stack and its capabilities so the audience could decide for themselves how to use or leverage this tool. The blurb I wrote introducing the topic.

Concerned that artificial intelligence will be a panopticon of horror? Afraid of nerds  immanentizing the eschaton? Jon and Julie have your back. Artificial intelligence is neither God nor imminent utopia but merely tools built by the hand of man. A practical discussion of how you can use these new compute tools to concretely impact the work & insight you need in your everyday life. Come prepared with questions, projects, and ideas as it will be interactive.

Our focus was on how these tools are built, what they can do and what they cannot do, and a firm stance that mathematics and compute are not imbued with divinity or demons but reflections of what we bring to them.

Indeed, we have never had more freedom than we do now to shape the weights and biases of these topological models. Our words on the public internet carry weight thanks to availability of fast compute and open source models. Our bigger issue is maintaining the capacity to supply energy and grid capacity. The real problems are human and social, much as we may wish to scapegoat a piece of code.

We were not suggesting a world ending chaos nor were we endorsing its use. We were discussing it as a piece of software and what it could do.

In a surprise to both myself and my co-speaker, the keynote of the evening spent a significant portion of his talk discussing how foolish, misguided and demonic we both were. Now the event has Chatham House rules for outside content or do I’d go into more detail.

However inside the event, the speaker could have done us the courtesy of saying our names when he made the suggestion that we are working towards evil ends.

He did not ask how we related to his positions and how we’d defend our word. At no point did he name us or address us. He merely cast aspersions.

Frankly I had no idea why he thought we were avatars for some kind of suicide squad as I doubt the gentleman is aware of MIRI or the myriad internal fights inside Silicon Valley. It was however insinuated to be true that we are the bad guys. It’s what we do.

I find this to be a cowardly position. If one holds such strong views that one would call two humans with honest intentions demonic at least say our names. We were in the audience listening intently.

So I will protest. In a past era, I feel that these heavy accusations would have been grounds for demanding satisfaction.

I am of the belief that the only way we manage the effects of adopting any new technology that impacts our culture is rigorously debating the merits from engineering to impact.

We are not asking you to trust us. We are instructing you in how to master this tool if you so desire and if it brings value to your life. We share many of the same concerns.

Alas (thankfully?) you are not summoning any demons that were not previously installed on the operating system of your soul. The shadow of humanity can be seen quite clearly in how we engage with the artifacts we call artificial intelligence.

I will continue to insist that insulting our positions without naming us or calling us to account in public is grandstanding. It was clear we were the targets of the criticism. It is poor form.

I’m an American so our manners may be different than others, but we do have them. So put some respect on our names when you say them in your real life subtweet.

We’ve asked to discuss it with him further through our host but he has declined. I frankly am delighted to find that I’ve had such an impact that I cannot even be named when raging against that machine.

One hopes a parlay possible. But it sounds like he would prefer to avoid us. This is of course fair on his part. I am however prepared to defend my positions. We all must be prepared to defend our actions in this age of change.

Categories
Aesthetics Internet Culture Politics

Day 1634 and Trust The Planners

As anyone who binges an TV show over the weekend can attest it’s best when you wrap the storyline cleanly and quickly.

And so it would seem we’ve got a clean wrap on the whole Israeli-Iranian conflict. Or says the narrator of America the TV show. Yes, I mean President Donald J Trump.

I must be having some sort of Taoist moment personally as the prospect of war seems very improbable in the energy of the world. We’ve not got the resources to keep dicking around.

And yet we are in news limbo as other countries are involved and don’t have an incentive to wrap it up clean by Monday.

This being the fundamental viewpoint of the cynical and self centered American with the bunker busters but also a flavor of Melian power politics. If we can punch some dickbags in the nards shouldn’t we do it with those big ass bombs right? It’s funny how American runs better on semiotics than policy.

Finally we get some X Files shit

Now I’ve got no idea what happens next except to say that the “nothing ever happens” camp has to realize we are dealing with a lot of variables and everyone involved is egotistical and old.

So standard fare insofar as our historical record and fictional characters usually deliver. Your years of foreign service policy study gets put into dank memes. Hopefully we don’t have a season two as Americans don’t like those $100 barrel of oil vibes at all. Naval superiority? Air supremacy? Nah memetic supremacy.

Categories
Aesthetics Politics

Day 1633 and Unseasonably So

I had the most beautiful summer solstice day. I was surrounded by beauty and good memories. I walked underneath a canopy of trees over a brook feeding blooming roses.

Roses, streams and subshine

My whole day had the enlivening feel of the state of summer.

Even our peonies were ready to bloom

And then evening came with the news of American B-2 bombers dropping on Iranian nuclear targets. That sent a chill down everyone’s spine. It was late enough when the news broke that the day was nearly finished. The evening rapidly sobered. I went to bed.

It was near freezing and raining when I woke up this morning. The mood has altered. It didn’t feel like summer. Alex started a fire in the living room. An entirely welcome warmth in an unseasonably cold summer day.

Categories
Aesthetics Politics

Day 1612 and Netrunner Molotov Bang Bang Summer

Being a mere node in a large but influential network I transmit as much as I receive. I intake and reroute information as part of my own synthesis process and I appreciate that it benefits me and others. But it also does damage and today was a rough start to June by any measure.

I saw a lot today and I only pass some of it along with the thought it’s going to be netrunner bang bang Gibsonian “who respects the nation state” asymmetrical energy Summer of 2025.

Any utopian dreams of a human noosphere of higher collective intelligence must reflect upon quotidian horrors showing our baser impulses daily and summer is war season for good logistical reasons.

Ukraine appears to have blow up a number of Russian fighter jets with drones smuggled in with trucks. Let’s recall the below image from last year. Ukrainian Netrunners vaping while flying FPV drones stepped up their game hardcore today.

Ukrainian FPV drone operator smoking a vape circa summer of 2024

believe this is the first ever direct attack on any nation’s nuclear triad in history, and it succeeded – @antroyn

Twitter is awash in footage of this drone attack on Russian fighter planes being drone bombed

Operation Spider Web showed the power of asymmetrical warfare and scared the shit out of deterrence war planners as drones versus air superiority is a worry that has now become persistent reality. Nuclear triad theory needs an update.

In other closer to home news, an older white gentleman firebombed a protest along Boulder’s Pearl Street Mall in what appears to be a kind of Molotov cocktail incident over Hamas hostages. It’s my hometown so this is upsetting beyond the wider context of terrorism over the situation. I fear for further tensions in liberal college towns.

Aesthetically, because it’s going to be a high volatility volume time on Wall Street, I am enjoying to see this Twitter account picking beautiful brutalism and “80s cocaine design aesthetics” out of the ether.

If one is to survive a summer of netrunners and volatility, this look will appeal to the sorts who want hyper focus, class & glass. While no one would recommend uppers, it’s clearly part of the overall vibe of managing nervous system input for anyone looking to do violence.

Categories
Homesteading

Day 1610 and Tempting Fate

As I was going about doing “prepare for the worst so the best may come” set of chores I chose to brag about our travel pharmacy packing.

As Elon Musk leaves government service there has been a flurry of media hits. I don’t know anything about his personal medical situation nor is it my place to comment but I found it comical to suggest that 20 drugs in a daily medication box was nefarious.

New York Times “Musk Juggled Drugs and Family Drama”

Those are to put it mildly “rookie numbers” in the biohacking business. And it’s barely a dent if you practice the kind of global chaos preparedness that we do. So I bragged about it and showed one of our global travel kits.

Ray Kurzweil isn’t making it to the singularity on less than 40 supplements a day so I sure as heck ain’t setting out into emerging economies with anything less than a full set of bacterial, viral, and gastrointestinal remedies.

And as we care about things like being first responder trained and able to render aid to our community, we joke that you really can’t be a pro-social prepper if you don’t carry an AFAIK kit.

As I was being snide about our the value preparedness, outside in my own backyard we were being tested. And as soon as it happened I felt completely unprepared. Pride does indeed go before a fall.

We have a beautiful red fox that has for several seasons lurked around our property. We also keep laying hens. Alex has hardened the chicken coop to make sure they did not have a chance to get in. Nature and domestication co-exist uneasily.

We have never seen the fox out in day save in the dead of winter. In the spring we rarely ever see the fox.

So whenever we let the chickens roam generally we keep a keen watch on them. We’ve gone a few seasons with this working but letting your guard down can get you.

Alex was walking down our long drive to retrieve a trash can and let the roaming chickens out of his sight for less than five minutes. In that time the fox raced out from behind foliage and took one.

We caught it all on camera. Having taken one (we could not find her) the fox came back not more than ten minutes later and tried to grab another chicken which point Alex saw and intervened. The fox dropped her but she has a puncture wound.

I finally hear the ruckus and come outside. I see feathers everywhere and figure it out as soon as I see feathers. .

This chicken is alive

I’m pulling out my phone and asking the LLMs how do we care for an injured chicken. Turns out it’s not that different than human.

I run to find the supples for cleaning and disinfecting. I find the topical antibiotics. It all takes much longer than I think it should. Alex cleans her up and she seems fine. But wont know how she recovers for a bit. Now I will do a review of our supplies and their locations as I am reminded that there is no such thing as too prepared.

Categories
Culture Politics

Day 1606 and Woody Allen Panopticon

The internet loves to have fights over which intellectual, religious, artistic, or political views are discredited by the sins of its people. We have to police all kinds of things lest the youth get the wrong impression.

If you dig into any serious gathering of humans you will be shocked by human nature. You shouldn’t be but Americans have it pretty good so we often are. This despite us living in a Woody Allen panopticon where we cannot separate the man from the work. We are forced to look at others sins constantly.

And it’s upsetting I won’t lie. Way more people than you’d like fall into the pederast camp. I didn’t even know that was a word till I met some Italians. Blessedly free of this knowledge in lived experience. Woody Allen, Michel Foucault (he gave us the panopticon) and Socrates were all committing sins against children. I’d argue you can skip Annie Hall but you shouldn’t skip Plato or Foucault.

Depending on whose authority you crave you the real danger to watch out for is different historical flavors of Marxists and fascists and where they settled.

Plenty of academics and journalists dislike understanding humans for who they were in their time and judging them in context of their output.

That’s dangerous according to more than a few scolds in the media and the academy. Drop the term Straussian and see how it goes over at a dinner party. Dangerous truths ahhh!

There are lots of little shibboleths for discerning which Hegelians took a turn with the Italian futurists. Have you heard of Russian Cosmism?Also dangerous. Don’t even get me started on what it means that JD Vance may or may not be an Ulster Scott and what that does or doesn’t mean to certain sects of reactionaries.

I honestly can’t keep up despite being as relatively close as one can come to being expert weird future fixated movements while not being a historian or a journalist.

Guilt by association in the process of living through history is both a horrifying and sticky business if we look too closely. I have a shelf full of Modernist Marxists which I’m certain wouldn’t have allowed me to survive the Red Scare despite my intense dislike for communism. So beware the Woody Allen panopticon. It comes for everyone. But also leave them kids alone.